<%@ page language="java" contentType="text/html; charset=utf8"
    pageEncoding="utf8"%>
<!DOCTYPE html>
<html>
<head>
<meta charset="utf8">
<title>Insert title here</title>
</head>
<link rel="stylesheet" href="/hospital-system/bootstrap-5.3.0/css/bootstrap.css">
<body style="background: url('../images/paback.jpg'); 
		background-attachment: fixed; background-size: 100%">

<nav class="navbar navbar-dark bg-dark ">
  <span class="navbar-brand mb-auto h1 mr-auto my-10  navbar-nav-scroll">欢迎使用医院就诊系统</span>
</nav>
	<form action="/hospital-system/patientRegister" method="post" class="mt-3">
		
		<div class="mb-3 row">
			<label class="col-sm-2 col-form-label">姓名:</label>
			<div class="col-sm-10">
				<input type="text"  class="form-control" id="Name" name="Paname">
			</div>
		</div>
		
		<div class="mb-3 row">	
			   <label class="col-sm-2 col-form-label">性别:</label>	    
			  	<div class="form-check col-sm-10" id="sex">
				  <input type="radio"  id="Pasex" name="Pasex" value="男">
				  <label class="form-check-label" for="ssex">男</label>
				  <input type="radio"  id="Pasex1" name="Pasex" value="女">
				  <label class="form-check-label" for="ssex1">女</label>
			  	</div>
			  </div>
		
		<div class="mb-3 row">
			<label class="col-sm-2 col-form-label">年龄:</label>
			<div class="col-sm-10">
				<input type="text"  class="form-control" id="age" name="Paage">
			</div>
		</div>
		<div class="mb-3 row">
			<label class="col-sm-2 col-form-label">身份证号:</label>
			<div class="col-sm-10">
				<input type="text"  class="form-control" id="idcard" name="Paidcard">
			</div>
		</div>
		<div class="mb-3 row">
			<label class="col-sm-2 col-form-label">电话号码:</label>
			<div class="col-sm-10">
				<input type="text"  class="form-control" id="number" name="Panum">
			</div>
		</div>
		<div class="mb-3 row">
			<label class="col-sm-2 col-form-label">用户名:</label>
			<div class="col-sm-10">
				<input type="text"  class="form-control" id="userName" name="Pausername">
			</div>
		</div>
			  
			 <div class="mb-3 row">
			<label class="col-sm-2 col-form-label">密码:</label>
			<div class="col-sm-10">
				<input type="text"  class="form-control" id="password" name="Papassword">
			</div>
		</div>
			  <div class="mb-3 row">
			  <label class="col-sm-2 form-label"></label>		  
			    <div class="col-sm-3">
			      <input type="submit" class="form-control btn btn-primary" value="注册" >
			    </div>
			  </div>		  
		</form>
</body>
</html>